Limb lengthening in Africa: tibial lengthening indicated for limb length discrepancy and postosteomyelitis pseudarthrosis

Farikou, Ibrahima; Fokam, Pius; Tambo, Félicien Faustin Mouafo

doi:10.2147/orr.s61577

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…However, in our study, we compared the duration of hospitalization instead of the duration of treatment which was significantly lower among patients whose lengthening procedure was successful (p<0.01). In the lengthening of a tibia, the most common reported surgical complications by Ibrahima 20 and colleagues were refractures and recurrence of infection. In another study 21 of 88 cases who underwent limb lengthening using external fixation, the pin-tract infection (PTI) rate was 96.6%.…”

Section: Discussionmentioning

confidence: 99%

Yield of Tibial Lengthening Surgery using NA External Fixator

Ali¹,

Iqbal²,

Anjum³

et al. 2022

PJMHS

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Aim: To determine the yield of tibial lengthening procedure using NA external fixator in our patients at GMC, Gujranwala, and KEMU, Lahore, Pakistan. In addition, this study will also find significant factors associated with success of the NA fixator-assisted lengthening surgery. Methods: This cross-sectional analysis include patients having short tibia who underwent tibial lengthening procedure using NA external fixator. These patients were categorized int two groups: successful lengthening and unsuccessful lengthening procedure groups. Statistical analysis was done using SPSS version 25. Independent sample T test, Chi-square test, and binary logistic regression analysis were applied. The p-values were taken statistically significant if < 0.05. Independent sample T test and Chi-square test for independence were used for quantitative and qualitative variables respectively to determine their significant association with the success of the tibial lengthening procedure. The p-values were taken statistically significant if <0.05. Results: Amongst 100 patients, healing occurred, and lengthening achieved in 94% and healing did not occur in 6%. The duration of hospitalization was statistically significantly less among the patients in which lengthening procedure was successful as compared to the patients in which lengthening procedure was not successful (4.83±3.44 days vs 11.00±5.59 days, p<0.01). All 6 patients in which lengthening procedure was not successful got no plaster on fixator removal (p<0.01). The skin reactions to the pins was significantly less among the group of the patients in which lengthening procedure was successful as compared to the group of the patients in which lengthening procedure was unsuccessful (p=0.027). Tibial lengthening procedure was significantly unsuccessful among the patients who received bone grafting during lengthening procedure (p<0.01). Conclusion: The yield of tibial lengthening procedure using NA external fixator was excellent in our studied population. Duration of hospitalization as well as the reaction to pins was significantly higher among the patients in which lengthening procedure was unsuccessful. Similarly, the unsuccessful tibial lengthening procedure was significantly common for the patients who received bone grafting during lengthening procedure. Keywords: Short Tibia, Tibial lengthening surgery, NA external fixator, Yield, SPSS

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Section: Discussionmentioning

confidence: 99%

Yield of Tibial Lengthening Surgery using NA External Fixator

Ali¹,

Iqbal²,

Anjum³

et al. 2022

PJMHS

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“…Those journals may not be included into the famous databases and are not so much known to the international orthopedic community but could testify on the geography of the Ilizarov method distribution across the continents[ 139 ]. The studies written by the authors from Cameroon and Nigeria on Ilizarov limb reconstruction in Africa conclude that the use of the Ilizarov method has been sparsely reported on the continent but should be “popularized in the countries with limited resources because it would be an attractive alternative to the amputations that are sometimes performed”[ 140 , 141 ].…”

Section: The International Impact Of the Ilizarov Methods On The Evolution Of Bone Reconstruction Surgerymentioning

confidence: 99%

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100^thbirthday of G. A. Ilizarov)

Malkova

Borzunov

2021

WJO

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The Ilizarov method is one of the current methods used in bone reconstruction. It originated in the middle of the past century and comprises a number of bone reconstruction techniques executed with a ring external fixator developed by Ilizarov GA. Its main merits are viable new bone formation through distraction osteogenesis, high union rates and functional use of the limb throughout the course of treatment. The study of the phenomenon of distraction osteogenesis induced by tension stress with the Ilizarov apparatus was the impetus for advancement in bone reconstruction surgery. Since then, the original method has been used along with a number of its modifications developed due to emergence of new fixation devices and techniques of their application such as hexapod external fixators and motorized intramedullary lengthening nails. They gave rise to a relatively new orthopedic subspecialty termed “limb lengthening and reconstruction surgery”. Based on a comprehensive literature search, we summarized the recent clinical practice and research in bone reconstruction by the Ilizarov method with a special focus on its modification and recognition by the world orthopedic community. The international influence of the Ilizarov method was reviewed in regard to the origin country of the authors and journal’s rating. The Ilizarov method and other techniques based on distraction osteogenesis have been used in many countries and on all populated continents. It proves its international significance and confirms the greatest contribution of Ilizarov GA to bone reconstruction surgery.

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Limb lengthening in Africa: tibial lengthening indicated for limb length discrepancy and postosteomyelitis pseudarthrosis

Cited by 2 publications

References 6 publications

Yield of Tibial Lengthening Surgery using NA External Fixator

Yield of Tibial Lengthening Surgery using NA External Fixator

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100^thbirthday of G. A. Ilizarov)

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Limb lengthening in Africa: tibial lengthening indicated for limb length discrepancy and postosteomyelitis pseudarthrosis

Cited by 2 publications

References 6 publications

Yield of Tibial Lengthening Surgery using NA External Fixator

Yield of Tibial Lengthening Surgery using NA External Fixator

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100thbirthday of G. A. Ilizarov)

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International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100^thbirthday of G. A. Ilizarov)